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General NPI Number Information
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NPI Number | 1285446674
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Entity Type | Individual
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Provider Name | KELSEY MARIE KLEIN
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Gender | Female
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 8595 IN-37 SUITE C
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City | TELL CITY
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State | IN
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Zip | 47586
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Country | US
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Telephone | 812-215-5584
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Fax |
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Provider Business Mailing Address
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Address Line | 4730 SYDNEY LN APT 102
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City | OWENSBORO
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State | KY
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Zip | 42301-8485
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Country | US
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Telephone | 270-316-7924
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 259167
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License Number State | KY
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